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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait .ay be subject to 'deed restrictiDns' which aay be aore restrictive than City
<br />regulations. The undersigned aSSUAeS responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work! they may be required to be licensed in accordance with
<br />state and local regulations. If thece,tractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the ow~~r Dr intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, th~y are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that h2 is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES,
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent.of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a ~opy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environ.enldl Protection AQency - ~St~5tu~ ~hat~~Dnt
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressinq a "compensating volule' will be subMitted which is prepared by a professional enqineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the permit is
<br />susp~nded or abandoned for a period of six .onths after the tile the work is cOltenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY,'BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRA{l'(OR
<br />
<br />~.: .' __ ~_1J&:~/___
<br />SI6N TURE: OWNER OR AGENT
<br />
<br />has
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OFti' A:1S(j)
<br />The foregoing instrumen~was acl~~~ledged
<br />befeore me th i s ~ftl'f .z , 19 -Zl::- by
<br />
<br />~{)jJ ~
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identific
<br />take an c.
<br />
<br />
<br />(Name T
<br />NOTARY
<br />
<br />
<br />STATE OF FLORIDA
<br />
<br />(Nam
<br />NOTA
<br />
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